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Search › Idaho › 363A00000X

Javlyn Weaver, PA

NPI 1528774932 · on the registry since 2023

Practice

Address
895 N 6th E
Mountain Home, ID 83647
Phone
(208) 587-8401
Organisation at this address
Elmore Medical Center
St Lukes Regional Medical Center
St Lukes Regional Medical Center
St Lukes Regional Medical Center
St Lukes Regional Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho